Objectives | Expected Outcomes | Measures | Methods of data collection | Time point |
---|---|---|---|---|
Primary objective | ||||
Design, implementation and assessment of an effective programme to reduce neonatal mortality | An effective programme blueprint | Replication of the SBL programme | Government records Research records | End |
Secondary objective | ||||
Reduce neonatal mortality | Reduction in neonatal mortality | Neonatal mortality rate | Surveillance | Continuous |
Tertiary objectives | ||||
Describe neonatal epidemiology over a five-year period | Description of neonatal epidemiology | Characteristics of all neonates born: gestation, birth weight, gender, birth location, season of birth | Surveillance | Continuous |
Characteristics of all neonates that die: Causes of stillbirths and neonatal deaths, contributing factors to stillbirths and neonatal deaths, location, timing, season | Surveillance, Verbal autopsy, Social autopsy | Continuous | ||
Improve community-based and primary care for all neonates | Effective neonatal care provided by CHWs | CHW engagement: PLA attendance rate and frequency, awareness and motivation regarding neonatal healthcare, interaction between group and facilitator | PLA records | Continuous |
CHW empowerment: knowledge, attitudes and practice regarding neonatal care, number of interventions implemented by CHWs | KAP survey PLA records | Annual Continuous | ||
Effective neonatal care provided by primary care facilities | Facility health outcomes: facility neonatal mortality | Surveillance | Continuous | |
Facility capacity to provide neonatal care: equipped and staffed facilities, skilled healthcare workers: knowledge, attitudes and practice regarding neonatal care | KAPES survey | Annual | ||
Effective linkage between health system levels | Neonatal healthcare linkage: referral patterns, home delivery rate, care-seeking patterns | Facility records, Surveillance, Social autopsy | Continuous | |
Develop an effective neonatal programme | Improved neonatal health outcomes | Perinatal mortality (stillbirth rate + death within first 7 days of live birth) | Surveillance | Continuous |
First day mortality (death within first 24 h of live birth) | Surveillance | Continuous | ||
Change in patterns of neonatal death: causes of death (cause-specific mortality fraction), location, timing, season | Verbal autopsy | Continuous | ||
Feasible and acceptable programme | CHW perceptions about programme: satisfaction, facilitators and barriers, successes and challenges | Feedback surveys, FGDs & SSIs | End | |
Healthcare worker perceptions about programme: satisfaction, facilitators and barriers, successes and challenges | Feedback surveys, FGDs & SSIs | End | ||
Policy-maker and implementer perceptions about programme: satisfaction, facilitators and barriers, successes and challenges | Feedback surveys, FGDs & SSIs | End | ||
Influence or incorporation of programme components into Ministry of Health policy or strategy | Government records | End | ||
Calculate cost-effectiveness of the intervention | Cost-effective programme | Cost-effectiveness of the intervention compared to normal standard of care: disability-adjusted life years, quality-adjusted life years | Research administrative records | End |